West Virginia Medicaid Income Limits 2026: Chart by Household Size (Adults, Children, WVCHIP)

West Virginia's own chart, effective April 1, 2026, lets one adult have up to $1,836 a month (the annual figure divided by 12) and a household of four up to $3,795 a month for adults, which is 138% of the federal poverty level. Every figure below comes from the state agency's own chart, effective April 1, 2026, not from federal averages or the old Medicaid.gov table.

Maintained by Archie Chang · Charts and sources checked October 30, 2026 · Methodology & sources

Check your income

Coverage group

People in the household

Income period

Household income before taxes

Enter the whole household's countable income. States count income with MAGI rules, so this is a starting point, not a decision.

Result

Your income is at or below West Virginia's chart amount for this group.

Your income, a year: $18,000
Household size used in the chart: 1
West Virginia chart amount, a year, 138%: $22,032
West Virginia chart amount, a month: $1,836

This is not an eligibility decision. West Virginia Department of Human Services, Bureau for Medical Services decides what income counts (MAGI rules), who is in the household and the final result. Apply to find out: West Virginia DoHS (apply through WV PATH or your county office).

West Virginia Medicaid income limit chart, 2026

Monthly and annual limits by household size for each group the West Virginia Department of Human Services, Bureau for Medical Services prints. Bold figures are printed by the state; italic figures are FedRateCalc's calculation (a monthly figure times 12, an annual figure divided by 12). The state chart effective date is April 1, 2026.

Medicaid income limits by household size and coverage group
Household size	Children ages 0 to 1 (up to 163% FPL)163%Effective April 1, 2026	Children ages 1 to 6 (up to 146% FPL)146%Effective April 1, 2026	Children ages 6 to 19 (up to 138% FPL)138%Effective April 1, 2026	Pregnant women and their newborns (up to 190% FPL)190%Effective April 1, 2026	Adults ages 19 to 64 (up to 138% FPL)138%Effective April 1, 2026	WVCHIP Gold (minimal co-pays only)about 150%Effective 2026 (the page prints no date)	WVCHIP Blue (all co-pays apply)about 211%Effective 2026 (the page prints no date)	WV Premium Plan (all co-pays apply)about 300%Effective 2026 (the page prints no date)
1	$2,168 a month$26,016 a year	$1,942 a month$23,304 a year	$1,836 a month$22,032 a year	not listed	$1,836 a month$22,032 a year	not listed	not listed	not listed
2	$2,940 a month$35,280 a year	$2,633 a month$31,596 a year	$2,489 a month$29,868 a year	$3,427 a month$41,124 a year	$2,489 a month$29,868 a year	$2,705 a month$32,460 a year	$3,806 a month$45,661 a year	$5,410 a month$64,920 a year
3	$3,711 a month$44,532 a year	$3,324 a month$39,888 a year	$3,142 a month$37,704 a year	$4,326 a month$51,912 a year	$3,142 a month$37,704 a year	$3,415 a month$40,980 a year	$4,804 a month$57,646 a year	$6,830 a month$81,960 a year
4	$4,483 a month$53,796 a year	$4,015 a month$48,180 a year	$3,795 a month$45,540 a year	$5,225 a month$62,700 a year	$3,795 a month$45,540 a year	$4,125 a month$49,500 a year	$5,803 a month$69,630 a year	$8,250 a month$99,000 a year
5	not listed	not listed	not listed	not listed	not listed	$4,835 a month$58,020 a year	$6,802 a month$81,615 a year	$9,670 a month$116,040 a year
6	not listed	not listed	not listed	not listed	not listed	$5,545 a month$66,540 a year	$7,800 a month$93,600 a year	$11,090 a month$133,080 a year
7	not listed	not listed	not listed	not listed	not listed	$6,255 a month$75,060 a year	$8,799 a month$105,585 a year	$12,510 a month$150,120 a year
8	not listed	not listed	not listed	not listed	not listed	not listed	not listed	not listed

Children ages 0 to 1 (up to 163% FPL): The guide prints yearly income by family size for sizes 1 to 4. 163% is 158% plus 5 points, and 158% is the Medicaid.gov table value (as of December 1, 2023); the guide does not say the 5 points are included.
Children ages 1 to 6 (up to 146% FPL): 146% is 141% plus 5 points (the Medicaid.gov table, as of December 1, 2023, shows 141%); the guide does not say the 5 points are included.
Children ages 6 to 19 (up to 138% FPL): 138% is 133% plus 5 points; the guide does not say the 5 points are included.
Pregnant women and their newborns (up to 190% FPL): The guide says a minimum family size of 2, including the unborn baby or babies. 190% is 185% plus 5 points; the guide does not say the 5 points are included.
Adults ages 19 to 64 (up to 138% FPL): The guide calls its chart "general guidance for 2026" and says to check with your county DoHS office; its yearly amounts are twelve times a monthly amount rounded up to a whole dollar.
WVCHIP Gold (minimal co-pays only): The WVCHIP page prints per month and annual amounts for family sizes 2 to 7 and no percentages; the amounts equal 150% of the 2026 guideline (FedRateCalc arithmetic).
WVCHIP Blue (all co-pays apply): The amounts equal about 211% of the 2026 guideline (FedRateCalc arithmetic); the page prints no percentages and no date.
WV Premium Plan (all co-pays apply): The amounts equal 300% of the 2026 guideline (FedRateCalc arithmetic); the CMS table (as of December 1, 2023) shows 300% for West Virginia’s separate CHIP. The page says to add $3,400 (annually) for each additional member over 8.

The Bureau for Medical Services' booklet "Your Guide to Medicaid 2026" is marked "Effective April 1, 2026" and says the chart "provides general guidance for 2026" on whether you or your family may qualify based on MAGI; it prints yearly income for family sizes 1 to 4 only and tells readers to check with the county DoHS office.
WVCHIP's Eligibility page prints an income table for family sizes 2 to 7 (per month and annual) for WVCHIP Gold, WVCHIP Blue and the WV Premium Plan; it prints no effective date. Children must be under age 19, not eligible for West Virginia Medicaid, and have income and family size within the guidelines.

Chart sources: West Virginia Bureau for Medical Services: Your Guide to Medicaid 2026 (effective April 1, 2026); WVCHIP: Eligibility and income guidelines (the page prints no date).

How West Virginia counts the 5 percent disregard

Federal rules tell states to subtract 5 percentage points of the poverty level from income for the eligibility group with the highest income standard. That is why some state charts print a percentage such as 133% and others print the total, such as 138%.

“Effective January 1, 2014, in determining the eligibility of an individual using MAGI-based income, a state must subtract an amount equivalent to 5 percentage points of the Federal poverty level for the applicable family size only to determine the eligibility of an individual for medical assistance under the eligibility group with the highest income standard using MAGI-based methodologies in the applicable Title of the Act, but not to determine eligibility for a particular eligibility group.”

42 CFR 435.603(d)(4) (source)

The household size in the chart for a pregnant woman counts the children she is expected to deliver:

“In the case of determining the family size of a pregnant woman, the pregnant woman is counted as herself plus the number of children she is expected to deliver. In the case of determining the family size of other individuals who have a pregnant woman in their household, the pregnant woman is counted, at State option, as either 1 or 2 person(s) or as herself plus the number of children she is expected to deliver.”

42 CFR 435.603(b), definition of family size (source)

In West Virginia's chart, the amounts for Children ages 0 to 1 (up to 163% FPL); Children ages 1 to 6 (up to 146% FPL); Children ages 6 to 19 (up to 138% FPL); Pregnant women and their newborns (up to 190% FPL); Adults ages 19 to 64 (up to 138% FPL) equal a standard percentage plus 5 points (for example 138% is 133% plus 5) by FedRateCalc's arithmetic; the chart does not say the 5% disregard is included, so the checker adds nothing on top.

In West Virginia's chart, the amounts for WV Premium Plan (all co-pays apply) are the plain percentage. The checker above adds 5 percent of the 2026 guideline to those amounts as its own calculation to show income that is just over the printed amount.

West Virginia Medicaid programs and expansion

The Bureau for Medical Services' 2026 guide lists adults ages 19 to 64 among the people Medicaid covers, with yearly income up to 138% of the federal poverty level, and the DoHS article of August 27, 2026 calls the group the Medicaid Adult Expansion Group. Medicaid.gov's table, as of December 1, 2023, shows 133% for West Virginia.

West Virginia Medicaid. The Bureau for Medical Services' 2026 guide says Medicaid provides health insurance to pregnant women, children under age 19, former foster care children until age 26, very low income families, adults ages 19 to 64 and others, and that eligibility for pregnant women, children and adults is based on Modified Adjusted Gross Income (MAGI) and household size.
WVCHIP. WVCHIP covers children under age 19 who are not eligible for West Virginia Medicaid and whose income and family size fall within its income guidelines; its table lists WVCHIP Gold (minimal co-pays only), WVCHIP Blue (all co-pays apply) and the WV Premium Plan (all co-pays apply).

How to apply for Medicaid in West Virginia

The Bureau for Medical Services says that if you do not receive SSI you can apply online at www.wvpath.wv.gov or in person or by mail at your county DoHS office; for a list of offices see dohs.wv.gov/field-offices or call the DoHS Change Center at 1-877-716-1212. You can also apply through the Marketplace at HealthCare.gov, which sends your information to the state agency if you may qualify.

West Virginia DoHS (apply through WV PATH or your county office) · HealthCare.gov Medicaid and CHIP

West Virginia Medicaid changes in 2027

“Beginning January 1, 2027, some Medicaid members (age 19-64) must meet Community Engagement requirements, unless exempt.”

West Virginia Bureau for Medical Services, New Medicaid Rules Are Coming (source)

“The start date is January 1, 2027. However, Medicaid applicants who are affected may have to start meeting the requirements in the month prior to their application. For example, applicants for January 2027 may have to meet requirements in December 2026. The new requirements will not apply to current Medicaid members until their regularly scheduled renewal in 2027, beginning with those due in March 2027.”

West Virginia Bureau for Medical Services, New Medicaid Rules Are Coming (source)

“Beginning Jan. 1, 2027, certain adults ages 19 through 64 enrolled in the Medicaid Adult Expansion Group will be required to complete 80 hours per month of qualifying activities to maintain Medicaid coverage.”

West Virginia Department of Human Services, article of August 27, 2026 (source)

The federal law behind these changes, Public Law 119-21, is explained with its exemptions and dates on the Medicaid income limits page. The income limits in the table above do not change because of it.

Frequently asked questions

What is the West Virginia Medicaid income limit in 2026?

Did West Virginia expand Medicaid?

How do I apply for Medicaid in West Virginia?

What changes for West Virginia Medicaid in 2027?

The Bureau for Medical Services says that beginning January 1, 2027 some Medicaid members age 19-64 must meet Community Engagement requirements unless exempt, applicants may have to meet them in the month before applying, and current members are affected from their renewals due in March 2027. The charts on this page are 2026 charts; the community engagement requirement and six-month renewals are separate from the income limits.

Do the same limits apply to West Virginia seniors and people with disabilities?

No. Medicaid for people who are aged, blind or disabled uses different income and resource rules from the MAGI groups in this chart. Ask the West Virginia Department of Human Services, Bureau for Medical Services or see Medicare vs Medicaid on this site.

How often does West Virginia update its Medicaid income limits?

The charts follow the federal poverty guidelines, which HHS updates each year, and West Virginia's chart took effect April 1, 2026. FedRateCalc will look for West Virginia's 2027 chart after HHS publishes the 2027 guidelines.

FedRateCalc is not a government site and cannot decide eligibility. Charts change when the state updates them; confirm with the West Virginia Department of Human Services, Bureau for Medical Services before relying on a figure.

Sources

All sources are government pages, read October 30, 2026. The Medicaid.gov table is dated December 1, 2023 and is used only as a cross-check.